Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.36 / $901.39 / $1,453.92	Facility		$771.36	$901.39	$1,453.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $769.76 / $874.73	Professional		$364.13	$769.76	$874.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.97 / $432.97 / $432.97	Facility		$432.97	$432.97	$432.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,045.09 / $1,045.09 / $1,045.09	Professional		$1,045.09	$1,045.09	$1,045.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $585.92 / $585.92 / $644.52	Professional		$585.92	$585.92	$644.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $358.32 / $432.97 / $432.97	Facility		$358.32	$432.97	$432.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.47 / $1,045.09 / $1,045.09	Professional		$540.47	$1,045.09	$1,045.09